| NPI | 1366476608 |
|---|---|
| Doing Business As | LASSER'S SHOE FLY |
| Entity Type | Organization |
| Authorized Contact | CHARLES WAYNE BIDDLE Secretary 814-684-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA BCP9905) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-05-21 |